摘要
目的:对我国当前医养结合政策的执行现状进行描述,并分析其制度性困境,以此提出相应的政策建议。方法:基于21个城市的实地走访和养老机构问卷调查对医养结合政策的地方执行情况和养老机构医养结合服务的提供情况进行分析。结果:地方上均配套出台了相关的医养结合政策,机构医养结合服务也得到了一定的发展,但各地政策执行文件浮于表面较多,触及实际问题较少。同时,民间力量已成为医养结合服务提供的主体,但仍处于简单的"医"+"养"的状态。结论:医养难结合背后的机制和根源在于医和养两部门间行政孤岛的存在以及激励机制的缺乏。
Objective： To describe the implementation status of the cOmbination of medical-nursing and health care service and to analyze institutional dilemma, so as to put forward the corresponding policy recommendations. Methods： Based on the field investiga- tion of 21 cities and the questionnaire survey of nursing homes, the implementation of support policy and the provision of the combina- tion of medical-nursing and health care service were analyzed. Results： Relevant policy documents were issued, and the combination of medical care and nursing services were provided in the nursing home. However, the policy execution documents were more superfi- cial and less practical. At the same time, although non-governmental forces was the main provider of the combination of medical care and nursing service. The medical care and nursing service were still in separation state. Conclusion： The mechanism and the reason of ＂difficult medical care and nursing services＂ were the existence of administrative isolated island between departments and the lack of incentive mechanism.
出处
《中国卫生经济》
北大核心
2018年第3期11-15,共5页
Chinese Health Economics
关键词
人口老龄化
医养结合
行政孤岛
制度困境
ageing
combination of medical-nursing and heath care service
isolated administrative island
system dilemma
